URGENT CARE BANKS CROSSING LLC (NPI# 1386802155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386802155 |
| Entity Type | Organization |
| Organization Name | URGENT CARE BANKS CROSSING LLC |
| Other Organization Name | COMMERCE SURGICAL ASSOCIATES |
| Practice Address |
415 B Pottery Factory Drive Commerce GA 30529 |
| Mailing Address |
P.o. Box 1055 Commerce GA 30529 |
| Practice Telephone | 7063360074 |
| Practice Fax Number | 7063360079 |
| Mailing Telephone | 7063360074 |
| Mailing Fax Number | 7063360079 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | MRS. LISA A BROOKSHIRE (OFFICE MANAGER) |
| Authorized Official Telephone | 7063360074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
049138 | GA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 049138 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 049138 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000771999H | 05 | |
| GA | NPI | 1033127899 | 01 |
| GA | NPI | 1497763254 | 01 |
| GA | 971545216B | 05 |
| Other Name | Type Code |
|---|---|
| Commerce Surgical Associates | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043448848 | Urgent Care Banks Crossing LLC | Clinic/Center | 415 B Pottery Factory Dr, Commerce, GA 30529-6682 | 2009-06-30 |
| Street Address |
415 B POTTERY FACTORY DRIVE |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| 1629162052 | Mohammad Kamrul Islam | Optometrist | 30983 Us Highway 441 South, Commerce, GA 30529 | 2006-10-02 |
| Find all providers in zip 30529 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205001070 | Paul M. Sergent M.d. P.C. | General Practice | 701 Hospital Rd, Commerce, GA 30529-1166 | 2008-04-23 |
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| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.